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Article

Ultrasound-Guided Infiltrative Treatment Associated with Early Rehabilitation in Adhesive Capsulitis Developed in Post-COVID-19 Syndrome

by
Danilo Donati
1,2,*,
Fabio Vita
3,
Roberto Tedeschi
4,
Stefano Galletti
5,
Alessandro Biglia
6,
Tommaso Gistri
7,
Pasquale Arcuri
4,
Flavio Origlio
8,
Francesco Castagnini
3,
Cesare Faldini
3,
Davide Pederiva
3 and
Maria Grazia Benedetti
8
1
Physical Therapy and Rehabilitation Unit, Policlinico di Modena, 41125 Modena, Italy
2
Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, 41121 Modena, Italy
3
Department of Orthopedic and Traumatological Surgery, IRCCS Istituto Ortopedico Rizzoli, University of Bologna, 40136 Bologna, Italy
4
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, 40136 Bologna, Italy
5
Musculoskeletal Ultrasound School, Italian Society for Ultrasound in Medicine and Biology, 40136 Bologna, Italy
6
Rheumatology Department, Fondazione IRCCS Policlinico San Matteo, University of Pavia, 27100 Pavia, Italy
7
Family Medicine Department, ASL Tuscany, 55049 Viareggio, Italy
8
Physical Therapy and Rehabilitation Unit, IRCCS Istituto Ortopedico Rizzoli, University of Bologna, 40136 Bologna, Italy
*
Author to whom correspondence should be addressed.
Medicina 2023, 59(7), 1211; https://doi.org/10.3390/medicina59071211
Submission received: 7 June 2023 / Revised: 23 June 2023 / Accepted: 25 June 2023 / Published: 28 June 2023
(This article belongs to the Topic Orthopaedic Diseases and Innovative Intervention Strategies)
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Abstract

Background and Objectives: Post-COVID-19 syndrome is commonly used to describe signs and symptoms that continue or develop after acute COVID-19 for more than 12 weeks. The study aimed to evaluate a treatment strategy in patients with adhesive capsulitis (phase 1) developed in post-COVID-19 syndrome. Materials and Methods: The method used was an interventional pilot study in which 16 vaccinated patients presenting with the clinical and ultrasound features of adhesive capsulitis (phase 1) developed during post-COVID-19 syndrome were treated with infiltrative hydrodistension therapy under ultrasound guidance associated with early rehabilitation treatment. Results: Sixteen patients with post-COVID-19 syndrome treated with ultrasound-guided infiltration and early rehabilitation treatment showed an important improvement in active joint ROM after 10 weeks, especially in shoulder elevation and abduction movements. The VAS mean score before the treatment was 6.9 ± 1.66. After 10 weeks of treatment, the VAS score was 1 ± 0.63. Conclusions: The study demonstrated that the management of adhesive capsulitis (phase 1) developed in post-COVID-19 syndrome, as conducted by physiotherapists in a primary care setting using hydrodistension and a rehabilitation protocol, represented an effective treatment strategy.
Keywords: ultrasound infiltrative treatment; early rehabilitation; adhesive capsulitis; post-COVID-19 syndrome ultrasound infiltrative treatment; early rehabilitation; adhesive capsulitis; post-COVID-19 syndrome

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MDPI and ACS Style

Donati, D.; Vita, F.; Tedeschi, R.; Galletti, S.; Biglia, A.; Gistri, T.; Arcuri, P.; Origlio, F.; Castagnini, F.; Faldini, C.; et al. Ultrasound-Guided Infiltrative Treatment Associated with Early Rehabilitation in Adhesive Capsulitis Developed in Post-COVID-19 Syndrome. Medicina 2023, 59, 1211. https://doi.org/10.3390/medicina59071211

AMA Style

Donati D, Vita F, Tedeschi R, Galletti S, Biglia A, Gistri T, Arcuri P, Origlio F, Castagnini F, Faldini C, et al. Ultrasound-Guided Infiltrative Treatment Associated with Early Rehabilitation in Adhesive Capsulitis Developed in Post-COVID-19 Syndrome. Medicina. 2023; 59(7):1211. https://doi.org/10.3390/medicina59071211

Chicago/Turabian Style

Donati, Danilo, Fabio Vita, Roberto Tedeschi, Stefano Galletti, Alessandro Biglia, Tommaso Gistri, Pasquale Arcuri, Flavio Origlio, Francesco Castagnini, Cesare Faldini, and et al. 2023. "Ultrasound-Guided Infiltrative Treatment Associated with Early Rehabilitation in Adhesive Capsulitis Developed in Post-COVID-19 Syndrome" Medicina 59, no. 7: 1211. https://doi.org/10.3390/medicina59071211

APA Style

Donati, D., Vita, F., Tedeschi, R., Galletti, S., Biglia, A., Gistri, T., Arcuri, P., Origlio, F., Castagnini, F., Faldini, C., Pederiva, D., & Benedetti, M. G. (2023). Ultrasound-Guided Infiltrative Treatment Associated with Early Rehabilitation in Adhesive Capsulitis Developed in Post-COVID-19 Syndrome. Medicina, 59(7), 1211. https://doi.org/10.3390/medicina59071211

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